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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Bloating, Pain, Extreme Nausea. No Help With Laxatives. Suggestions?

son. 34 had lap appy one week ago. home after one night. has seen doc twice for bloating painextreme nausea . xray done showed much stool. has has major laxatives even colonoscopy prep. today called me. after magcitrate had very small black bm. pain isbad, bloating less, taking anti emetics tid. was told if thiscontinues he would get consult in 3-4 weeks. i have had him go from ice chips to water. he had bowl ofcereal a.m. and pain increased
Tue, 26 Feb 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

After every abdominal surgery there is a risk of bowels obstruction due to intestine twisting or adhesions. Another reason of such symptoms can be eradicated intestinal bacteria due to antibiotics. If the X-ray has ruled out bowels obstruction and the symptoms are still present, he should have abdominal CT with oral contrast (enteroclysis) to see if there is no partial obstruction invisible in the X-ray.
Sometimes an abscess in the abdominal cavity post surgery can give such symptoms as well. That is why abdominal ultrasound should be also performed.
He should also start probiotics 3 times a day, drink more mineral water and increase fiber rich products.

Hope this will help.
Regards.
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Having Bloating, Pain, Extreme Nausea. No Help With Laxatives. Suggestions?

Hello! Thank you for the query. After every abdominal surgery there is a risk of bowels obstruction due to intestine twisting or adhesions. Another reason of such symptoms can be eradicated intestinal bacteria due to antibiotics. If the X-ray has ruled out bowels obstruction and the symptoms are still present, he should have abdominal CT with oral contrast (enteroclysis) to see if there is no partial obstruction invisible in the X-ray. Sometimes an abscess in the abdominal cavity post surgery can give such symptoms as well. That is why abdominal ultrasound should be also performed. He should also start probiotics 3 times a day, drink more mineral water and increase fiber rich products. Hope this will help. Regards.